EGD Nail Removal in the Duodenum

6y M, Hx of 2.5" carpenter's Nail ingestion 3hrs. Very sharp & long! Had passed through the stomach and surprisingly sitting at D3! High risk of injury! The tip was beveled so kept slipping. Ultimately, a "NAIL" biting finish!!

Few steps to follow for sharp FB Removal:

 • intubate. Slippage at UES may = aspiration

 • use FB hood - may be too big for small kids

 • be gentle, slow, keep lumen inflated, FB centered

 • hold from sharp end, if not, trail sharp end away

 • take time at LES/UES - sharp pull=injury



Dr Prateik @drprateikp



#Nail #Removal #Endoscopy #egd #esophagogastroduodenoscopy #gastroenterology #retrieval #clinical #foreignbody